Transcript to - Malaria Consortium

Digital SMC Implementation in The
Gambia
Huja Jah
ACCESS-SMC Project Manager
19th January 2016
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Why Go Digital?
Higher quality and more complete data availability because the
data is collected directly from local respondents. This enables
better cross-sections of information and information
comparisons.
Use of real-time or near real-time data to make decisions so that
the use of out of date data eliminated. Everyone is making
decision on the same data.
Real-time data enables better decision-making, adaptive
management, and improved allocation of limited resources.
Greater data security and archiving, which is especially
important for ensuring data transparency and conducting data
audits.
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The Registry Book
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THE DIGITAL PATHWAY FOR
ACCESS-SMC IN THE GAMBIA
Digital Backbone for Distribution and
Commodities Tracking
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Tracking Beneficiaries, Drugs & Reporting
Results
—The eValuate platform tracks SMC beneficiary distribution and can
also be used for MEAL purposes while also give information in the
Supply Chain system to track the distribution of drugs from the Health
Center to Community Health Worker(s), and from Community Health
Worker(s) to beneficiaries as well as to track any immediate adverse
drug reactions.
—The NetSuite system tracks the distribution of drugs from the Central
Medical Stores to the Health Center level.
—We can integrate this data through eValuate to generate a reporting
template with specific HF-level variables to satisfy the M&E indicators
and port into the Malaria Consortium general database managed by
LSHTM.
—We will also utilize this data from eValuate/ NetSuite to produce CRS
special reports on malaria trends across the ACCESS-SMC countries
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TAKING A LOOK AT THE GAMBIA
Why was The Gambia Ripe for Digital SMC
Implementation?
—Utilized digital collection method/ devices for LLIN mass
campaign.
—Using eValuate as MEAL platform.
—CP was ready to utilize existing devices for SMC implementation.
Kuntaur
Kerewan
Banjul
Kanifing
Kuntaur
Basse
Janjanbureh
Mansakonko
Kanifing
Kerewan
Janjanbureh
Basse
Brikama
(5,6]
(4,5]
(3,4]
(2,3]
(1,2]
[0,1]
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ACCESS-SMC in The Gambia
Where is SMC being delivered?
―In 2015, ACCESS-SMC is supporting The Gambia’s NMCP to administer SMC
to 90,925 children in Upper and Central River Regions of the country.
When is SMC delivered?
―In The Gambia, SMC is administered to children from August, with monthly
distributions continuing until November.
How is SMC managed in The Gambia?
―ACCESS-SMC is providing technical, financial and logistical support to the
NMCP and regional health teams for them to lead the roll out of SMC. This
support covers topics such as planning, health worker training and supervision,
managing the supply chain and sensitizing communities on SMC.
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ACCESS-SMC in The Gambia Cont’d
How is SMC delivered?
In The Gambia, SMC is delivered by 291 teams working for five days per
month (a ‘cycle’). Each team consists of 1 Community Health Worker (CHW)
and 1 Data Collector.
‘Door-to-door’ strategy is used for SMC delivery, with teams visiting each
household with eligible children to administer SMC drugs. Within the team,
the CHW is responsible for administering the drug to the child, with record
keeping being the responsibility of the data collector.
Digital collection via eValuate (beneficiary data) and NetSuite (Commodities
data)
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Learning Points
―Use Simple Technology: Android devices can capture rich data like photos or
GIS coordinates and are cheaper than iPads. Don’t let the technology drive
program design.
―Select Best Users and Train Extensively: Apply Best User standards when
selecting data collectors. Train, Train, Train!
―Strengthen HF/ District level Supervision: Apply a Digital Process to
Supervision/ Verification processes to ensure data quality.
―Check Early For Bad Data Bad data is unavoidable, but can often remedied
by making small changes in questions, outreach channels, or analysis tools.
Budget extra time to check raw data in the first iterations of data collection to
check for duplicates, obviously wrong entries, and other potential issues.
Consider data validity spot checks, where a team checks if the reported data
matches observations in the field.
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Learning Points Cont’d
―Syncing Data in Rural Health Districts with limited cellular capacity will be
challenge – the expectation needs to be near real time data and an off-line tally
compensate for this.
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2016 PLANNING
Key Next Steps: Digital SMC
Implementation Plan for The Gambia
- Continue to use digital data collection method
- Increase the number of devices to allow for a simultaneous implementation
of SMC in The Gambia
- Explore the possibility of the use of a mixed device data gathering system
(the use of iPads in one region and possibly android devices in the other for
cost savings).
- Work with Cell company to boost bandwidth in areas where we implement
during the SMC cycles to ensure the iPads can sync the data while in the
field
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Key Next Steps: Digital Transition
Plan for Niger, Mali & Guinea
—Migration of 2015 beneficiary data into eValuate for Niger, Mali &
Guinea – by Mar 2016
—Digital Registration of Health Facilities and Staff in Niger, Mali and
Guinea – by April 2016
—All EOC Reporting one through Zoho in 2016
—Full digital data collection in Niger utilizing android devices across all
XX HDs
—Digital data collection pilots (from C-1 – C-4) in Mali & Guinea
—Closer collaboration and regular bi-lingual tech support from GKIM
through the ICT4D Advisor based in Burkina
—Contiued eValuate and NetSuite integration
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THANK YOU